person
Mizrain Vazquez, CADCI
Addiction (Substance Use Disorder) Counselor in Grants Pass, Oregon
NPI 1194187625

Mizrain Vazquez is an Addiction (Substance Use Disorder) Counselor based in Grants Pass, OR and is specialized in Addiction (Substance Use Disorder). Mizrain Vazquez practices in Grants Pass, OR and has the professional credentials of CADCI. The NPI Number for Mizrain Vazquez is 1194187625 and holds a License No. 13-12-43 (Oregon).

The current practice location address for Mizrain Vazquez is 510 Nw 4Th St, Grants Pass, OR and can be reached out via phone at 541-474-5196 and via fax at 541-474-5172.

Location: 510 Nw 4Th St, Grants Pass, OR, 97526-2078
person
Provider Profile Details
NPI Number
1194187625
Provider Name
Mizrain Vazquez
Credential
CADCI
Provider Entity Type
Individual
Gender
Male
Address
510 Nw 4Th St, Grants Pass, OR, 97526-2078
Phone Number
541-474-5196
Fax Number
541-474-5172
Provider Enumeration Date
03/23/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
510 Nw 4Th St
City
State
Zip
97526-2078
Phone Number
541-474-5196
Fax Number
541-474-5172
person
Provider Business Mailing Address Details
Address
510 Nw 4Th St
City
State
Zip
97526-2078
Phone Number
541-474-5196
Fax Number
541-474-5172
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
13-12-43 (Oregon)
Definition
Definition to come...
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